Evidence map›Paper›PMID 38831030›Full record

ReviewNature reviews. Microbiology2024

ESKAPE pathogens: antimicrobial resistance, epidemiology, clinical impact and therapeutics.

William R Miller, Cesar A Arias

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07370948 (Study of the Antibiotic-resistance Profile of Enterobacterales Isolated From Rectal Mucosal Buffer of PrEP Subjects), which is not on this map. Cited by 466 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
466citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07370948 recruitingnot on this mapstarted 2025, after this paper: background citation

Study of the Antibiotic-resistance Profile of Enterobacterales Isolated From Rectal Mucosal Buffer of PrEP Subjects

TypeobservationalSponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2025 to 2026Enrolled200ConditionsInfection
3 · Its place in the literature

Who cites it

466 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. A novel CXCL8(3-72) K11R/G31P-BPIEmerging microbes & infections · 2026
    Article
  5. Emergence ofVirulence · 2026
    Article
  6. Article
  7. Can we escape from top-priority ESKAPE pathogens?Emerging microbes & infections · 2026
    Review
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Emergence of multidrug resistant Enterobacter spp. in Nigeria: a genomic study.World journal of microbiology & biotechnology · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review

406 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

William R MillerDepartment of Internal Medicine, Division of Infectious Diseases, Houston Methodist Hospital, Houston, TX, USA.ORCID http://orcid.org/0000-0002-1518-2973
Cesar A AriasDepartment of Internal Medicine, Division of Infectious Diseases, Houston Methodist Hospital, Houston, TX, USA. caarias@houstonmethodist.org.ORCID http://orcid.org/0000-0001-9054-9774

Funding

The LiaFSR system and antimicrobial peptide resistance in enterococciR01AI134637 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Cesar Augusto Arias · 2018 to 2026
$3.7M
Molecular Mechanisms Of Daptomycin Resistance In EnterococciR01AI093749 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ARIAS, CESAR AUGUSTO · 2011 to 2015
$1.9M
NIAID NIH HHS R01 AI093749NIAID NIH HHS R01 AI134637
6 · The paper itself

Abstract

The rise of antibiotic resistance and a dwindling antimicrobial pipeline have been recognized as emerging threats to public health. The ESKAPE pathogens - Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter spp. - were initially identified as critical multidrug-resistant bacteria for which effective therapies were rapidly needed. Now, entering the third decade of the twenty-first century, and despite the introduction of several new antibiotics and antibiotic adjuvants, such as novel β-lactamase inhibitors, these organisms continue to represent major therapeutic challenges. These bacteria share several key biological features, including adaptations for survival in the modern health-care setting, diverse methods for acquiring resistance determinants and the dissemination of successful high-risk clones around the world. With the advent of next-generation sequencing, novel tools to track and combat the spread of these organisms have rapidly evolved, as well as renewed interest in non-traditional antibiotic approaches. In this Review, we explore the current epidemiology and clinical impact of this important group of bacterial pathogens and discuss relevant mechanisms of resistance to recently introduced antibiotics that affect their use in clinical settings. Furthermore, we discuss emerging therapeutic strategies needed for effective patient care in the era of widespread antimicrobial resistance.

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialAcinetobacter baumanniiBacterial InfectionsEnterococcus faeciumHumansKlebsiella pneumoniaePseudomonas aeruginosaStaphylococcus aureusAnti-Bacterial Agents

Identifiers

PMID38831030
PMCPMC13147291

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.